Registration

Please click here to download the Registration form

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Name "/>
Designation   "/>
Institution /Affiliation "/>
Mailing Address   "/>
Telephone No. (Off)  "/>
Country Pin  "/>
Mobile No.  "/>
Telephone No. (Res) "/>
Email addresses: "/>
Accompanying Person (S) Name (Spouse, Children over 12 years) "/> "/>  
   
Registration fees (please tick (✔) category)
 
 
Category Up to March 10th, 2011 Spot Registration
Delegates from industry / R &D organization Rs. 5000/- <% if session("strRDOrganization")="on" then ckh1 = "checked" end if %> Rs. 6000/- <% if session("strRDOrganizationSpot")="on" then ckh2 = "checked" end if %>

Delegates from University /Research Institutes

Rs. 4000/- <% if session("strDelegates")="on" then ckh3 = "checked" end if %> Rs. 5000/- <% if session("strDelegatesSpot")="on" then ckh4 = "checked" end if %>
Research Scholars Rs. 1000/- <% if session("strResearch")="on" then ckh5 = "checked" end if %> Rs. 2000/- <% if session("strResearchSpot")="on" then ckh6 = "checked" end if %>
Foreign delegates USD 500 <% if session("strForeign")="on" then ckh7 = "checked" end if %> USD 550 <% if session("strForeignSpot")="on" then ckh8 = "checked" end if %>
Accompanying spouse Rs. 2000/- <% if session("strSpouse")="on" then ckh9 = "checked" end if %> Rs. 2500/- <% if session("strSpouseSpot")="on" then ckh10 = "checked" end if %>
  USD 200 <% if session("strUpTo")="on" then ckh11 = "checked" end if %> USD 250 <% if session("strUpToSpot")="on" then ckh12 = "checked" end if %>
 
     
  Registration Form  
  Mode of payment  
 
All payments are to be made by at par cheque or Bank Demand Draft drawn in favour of  “APM 2011 CIPET CHENNAI” payable at any nationalized bank at Chennai
 
         
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(DD/MM/YYYY)
 
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Mailing Address (please mail the Registration form and draft no

Convener, APM - 2011
CIPET, TVK Industrial Estate
Guindy, Chennai 600 032
Email: apm2011cipet@gmail.com
Ph. No. 91-044-22254701-06
Fax No. 91-044-22254707

Please Note:

  1. Students should submit the bonafide certificate from the Head of the Department.
  2. The conference identity provided to all the registered delegates must be worn at all times as entry may be denied to any one wearing the conference badge on account of security reasons.
  3. Only registered delegates will be entitled to attend the scientific programmes.
  4. Any accompanying person interested in attending Scientific proceedings need to be registered as delegate.
  5. Cancellation should be made in writing (stating your name and reference number) and sent to APM conference Secretariat at : apm2011cipet@gmail.com. Incase of cancellation: on or before March 10th, 2011 you will receive a refund of 70% of your registration fee less bank charges and administrative fee. No refund will be made for cancellation received after March 10th 2011
 
     
 
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Type the characters you see in the picture above
 
     
      

 

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